Ali, Yaqoob
Ali, Yaqoob is an individual health care provider with primary practice located at 1605 Martin Springs Dr Suite 150, Rolla MO 65401-2931. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Ali, Yaqoob can be contacted via phone (573) 458-6379.Contact Information
Primary practice address
1605 Martin Springs Dr Suite 150
Rolla MO 65401-2931
Phone: (573) 458-6379
Fax: (573) 458-6698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 2005035241 | Missouri |
Profile Details
| NPI number | 1477582799 |
|---|---|
| LBN Legal business name | Ali, Yaqoob |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Sep 30th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477582799 | NPPES |
| Missouri | MEDICAID | # PENDING |
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